A nurse is completing documentation in the medical record about a client who fell on the floor. Which of the following statements should the nurse include in the documentation?

The client fell because the assistive personnel did not place nonskid slippers on the client."

*Client stated, "I lost my balance and fell when got out of bed to go to the bathroom'."

The client does not appear to have any injuries resulting from the fall."

An incident report has been completed and sent to risk management."